Verified Answers
The healthcare provider alerts the nurse that a patient is at risk for chronic kidney disease.
Which risk factors should the nurse expect to find in this patient's chart? Select all that
apply. - ANS -Diabetes mellitus
Hypertension
Obesity
A patient experiences severe blood loss and hypovolemia following a motor vehicle crash.
The nurse should assess for signs and symptoms of which condition most likely to affect
the patient? - ANS -Prerenal acute kidney injury
Which assessment findings should the nurse report to the healthcare provider as being
indicative of possible kidney injury? Select all that apply. - ANS -Urine output less
than 400 mL/day
Dyspnea
Fixed specific gravity 1.010
The nurse is caring for a patient diagnosed with acute kidney injury. Which medication
order should the nurse question? - ANS -Potassium chloride
The nurse is caring for a patient diagnosed with chronic kidney disease whose hemoglobin
level is 10 g/dL yet remains asymptomatic. The nurse should anticipate the administration
of which treatments? Select all that apply. - ANS -Folic acid supplements
Oral iron supplements
1
Page
, The kidneys filter waste products from the blood, help regulate blood pressure and
electrolyte balance, and are involved in red blood cell production. Failure of one of these
organs, known as renal failure, refers to both acute kidney injury and chronic kidney
disease.
The nurse must recognize the signs and symptoms of renal failure and report these findings
immediately to improve patient outcomes.
Signs and symptoms of decreased kidney function include:
decreased urine output,
fluid overload,
potassium, sodium, calcium, and/or phosphorus imbalance,
metabolic acidosis,
anemia, and
increased blood urea nitrogen (BUN) and creatinine clearance.
Acute kidney injury, or AKI, is caused by an acute condition such as dehydration,
hypovolemia, surgery, infection, injury, trauma, or adverse reaction to medications.
With AKI, blood urea nitrogen and serum creatinine rapidly increase to toxic levels.
However, the condition i - ANS -
Rapid and reversible - ANS -Acute Kidney Injury
There are two types of renal failure, AKI and chronic kidney disease. AKI is a rapid, acute
disease process which is often reversible if addressed in a responsive and timely manner.
AKI can lead to chronic kidney disease which develops more slowly than AKI, usually over
several months or years.
2
Page
Long-term dialysis - ANS -Chronic Kidney Disease